CoffeeRTC

CoffeeRTC BSN, RN

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  1. What are some issues with younger residents you are having?

    CoffeeRTC replied to Ltcrn81's topic in LTC: Directors, Assistant

    Oh...hell no! We are a similar issue with this. I really don't want to be the nurse on duty when residents are sneaking or signing out, getting wasted and then coming back into the facility....

  2. Leaving my comfy throne to go into LTC, comfort vs skills

    CoffeeRTC replied to MzLopez4real's topic in Geriatric, LTC

    30 residents on an evening shift won't be that bad. Might be a good way to get your feet wet

  3. Crushing Oral Medications...New Regulation

    CoffeeRTC replied to ltcnurse4u's topic in Geriatric, LTC

    Yikes. I would be working with the MDs and pharmacists to get the list of meds whittled down....especially all the extra MVIs

  4. Annoying Employee

    CoffeeRTC replied to FLorida_624's topic in Patient, Colleague Relations

    LPNs can be supervisors, staff development coordinators MDS nurses and the list goes on in LTC. Since you wil be a supervisor, I would go up to her and ask her about last week. Sounds like it will...

  5. Salary Washington DC area

    CoffeeRTC replied to m157756's topic in General Nursing

    I've always wanted to move/ work in that area. My oldest will probably be going to school in DC. I'm from Southwestern PA and work in Ltc and make $35/hr. I would hope the pay would be higher in...

  6. Investigating Falls/ Accidents

    CoffeeRTC posted a topic in Geriatric, LTC

    How much of this falls on to you? Fall occurs. Nurse completes an event/ incident report. What do your forms include? We have a one page event report that nurse completes. Then we have witness...

  7. Investigating Falls/ Accidents

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    I detest our Event reports and would love to redo them. They are way too basic and really don't tell me much but instead, they rely on the witness statement forms that no one fills out. I remember...

  8. 15 min per patient!?!?

    CoffeeRTC replied to Glycerine82's topic in General Nursing

    ^^This. It really does add up. I try to do all my neb treatments around the same time. Some shifts i have 6 or so going at once......in addition to the 20 other residnets I'm passing meds

  9. Which is it? Coolest and most glamorous nursing jobs

    CoffeeRTC replied to Flyboy17's topic in General Nursing

    I was feeling very glam last week at work. I was helping the CNAs shower a combative resident. He tried to pinch my backside and then said I had a "luscious behind"

  10. How To Document Sleeping On Night Shift

    CoffeeRTC replied to Iggy123's topic in General Nursing

    I work LTC: Resting in bed with eyes closed. VSS, afebrile. Continues on IV antibiotics with no n/v/d. Resp easy and unlabored on room air. Denies pain. Dressing to left lower extremity clean,...

  11. New facility no med cart allowed

    CoffeeRTC replied to Mqnurse13's topic in Geriatric, LTC

    Maybe one of the mods can move this to the Geriatric/ LTC forum for more

  12. Having issues with being a "babyfaced" nurse.

    CoffeeRTC replied to Ash2016's topic in General Nursing

    It sounds like that patient would have picked on you or another nurse for any reason. I used to get this a ton and still do. It only bothered me when people would think "you are too young to be in...

  13. University of Pittsburgh Online RN-BSN program?

    CoffeeRTC replied to kghale's topic in Pennsylvania Nursing

    I have no info on this, except Pitt is a reputable school. If you are on Facebook, there is a Pittsburgh Nurses group with frequent questions about online BSN programs. Try

  14. Unit Manager Role?

    CoffeeRTC replied to shmajo's topic in Geriatric, LTC

    It really all depends on where you are working. Some unit managers function as mini DONs with 24 hr accountability of the unit and others are more of just more of a supervisor. Where I work, we...

  15. Just want some opinions

    CoffeeRTC replied to QuietIsntAWord's topic in Geriatric, LTC

    What is the policy of the facility? Are nurses in LTC responsible for the patients in the assisted or independent living? If so, where do you go to find out medical history? I wouldn't feel good in...

  16. Does anyone know of any nurses who were fired because they did too much overtime?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    Sad, but I have to agree with this statement. Most if not all of the nurses I've seen diverting (and yes, we finally got proof) were ones that signed up for excessive

  17. Staff Development - Need Help

    CoffeeRTC replied to pd013's topic in LTC: Directors, Assistant

    I will be following your post. I too will be taking a SDC position soon and be starting from the ground

  18. HIPAA/confidentiality during an Outbreak

    CoffeeRTC replied to Nurse2b Fun's topic in HIPAA Challenges

    AND...technically the CNA's should not have been applying a medicated cream/ ointment! In what world is it okay to appy a medicine without informed consent? I'd love to know if the facility did...

  19. Clean off the dead skin!

    CoffeeRTC replied to Gizmopup1's topic in General Nursing

    ^^^^ This a thousand times! My pet peeve is how areas around a wound are neglected. We are treating an area on a heel or ankle, why do we need to neglect cleaning between their toes on the top of...

  20. Suctioning with Distilled water ???

    CoffeeRTC replied to Nat07's topic in Geriatric, LTC

    Can you pull your facility's procedure

  21. Per diem nights nursing home?

    CoffeeRTC replied to chris21sn's topic in Geriatric, LTC

    I think there are a few posts on her about nights. You might be able to find them with a search. 11-7....depending on the size of the building, you might be the only nurse in house. If so, you...

  22. Making the most of orientation

    CoffeeRTC replied to SyringaSings's topic in Geriatric, LTC

    Are you new to LTC or nursing? If not, I say two weeks is a super orientation. As above, get to know your physical layout, phone numbers and who does what and where. Familiarize yourself with...

  23. Does anyone know of any nurses who were fired because they did too much overtime?

    CoffeeRTC replied to Blackcat99's topic in Geriatric, LTC

    If it is considered unapproved OT, then yes...I can see how it can happen but I've never seen this

  24. Investigating Falls/ Accidents

    CoffeeRTC replied to CoffeeRTC's topic in Geriatric, LTC

    You are probably right. I am doing an in-service this week. It is just so sad and frustrating. Most of our nurses have plenty of experience in nursing and at our facility but still, cant seem to...

  25. Can you refuse to give care to a resident in LTC?

    CoffeeRTC replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    Never, ever go into this resident's room alone. There should always be a buddy system and if possible the nurse should be there too. Not easy in LTC. I've taken care of my share of residents with...